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1578196580
JEROD KEENE
MADISON, WI
NPI
1578196580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 1241-39)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
JEROD KEENE MS, LAT, ATC
333 E CAMPUS MALL # 5140
MADISON, WI 53715-1365
Phone number: 608-890-1959
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Mailing Address
JEROD KEENE MS, LAT, ATC
333 E CAMPUS MALL # 5140
MADISON, WI 53715-1365
Phone number:
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